| NPI | 1073828414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1000054) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 270475) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2012-06-11 |